Cystoscopic surveillance of patients with non-muscle-invasive bladder cancer revisited.
Authors: Malmström PU PMID: 32633178 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - July 9, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

A comparison of side-effects and quality-of-life in patients operated on for prostate cancer with and without salvage radiation therapy.
Conclusions: Adding SRT to RP does not seem to result in other than acceptable side-effects in the majority of men receiving SRT when taking a long follow-up time (median 10 years after surgery) into account. However, a subset of men develop severe side-effects where rectal bleeding dominates. PMID: 32619133 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - July 4, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

A prospective study of a urine and plasma biomarker test for the prediction of gleason ≥3 + 4 prostate cancer in a mixed cohort.
A prospective study of a urine and plasma biomarker test for the prediction of gleason ≥3 + 4 prostate cancer in a mixed cohort. Scand J Urol. 2020 Jul 01;:1-5 Authors: Poulsen MH, Feddersen S, Albitar M, Poulsen CA, Lund M, Pedersen TB, Mortensen MA, Lund L Abstract Purpose: Definitive diagnosis of prostate cancer is based on biopsies, a procedure associated with side-effects. The use of biomarkers in blood and urine could potentially help clinicians select patients for whom biopsies are needed. The aim of the study was to test a new urine and plasma biomarker test in detecting medium...
Source: Scandinavian Journal of Urology - July 3, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Prediction of stone-free rates following extracorporeal shockwave lithotripsy in a contemporary cohort of patients with stone densities exceeding 1000 HU.
Conclusion: Stone size was the only significant success predictor in our cohort, with 76% SF rate for stones  1000 HU may be suitable to SWL. PMID: 32597283 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - July 2, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Do repeated transurethral procedures under general anesthesia influence mortality in patients with non-invasive urothelial bladder cancer? A Danish national cohort study.
Conclusions: Repeated transurethral procedures under general anesthesia appear to be associated with increased risk of death in patients with primary non-invasive papillary urothelial carcinoma. Furthermore, a substantial number of procedures were without findings of neoplasia, indicating that too many patients are admitted for transurethral procedures under GA. Attempts should be taken to reduce unnecessary transurethral procedures under GA, e.g. by improved outpatient diagnosis of urothelial neoplasia. PMID: 32584153 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 27, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Can we predict the development of symptomatic lymphocele following robot-assisted radical prostatectomy and lymph node dissection? Results from a tertiary referral Centre.
Authors: Sforza S, Tellini R, Grosso AA, Zaccaro C, Viola L, Di Maida F, Mari A, Carini M, Minervini A, Masieri L Abstract Objectives: Robot-assisted radical prostatectomy (RARP) has been established as first-line surgical therapy for organ-confined prostate cancer (PCa). Pelvic lymph node dissection (PLND) is recommended in case of intermediate and high-risk localized PCa however symptomatic lymphocele (SL) formation is a common complication. Still no certain clinical and surgical predictors of SL have been found in the robotic era. Aim of this study was to identify clinical and surgical predictors of SL after RAR...
Source: Scandinavian Journal of Urology - June 27, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Comments to Editorial by J. Curtis Nickel. It is premature to categorize Hunner lesion interstitial cystitis as a distinct disease entity. Scandinavian Journal of Urology 2020, Vol. 54, No. 2, 99-100; https://doi.org/10.1080/21681805.2020.1744714.
Authors: Fall M, Nordling J, Cervigni M, Oliveira PD, Fariello J, Hanno P, Kabjörn-Gustafsson C, Logadottir Y, Meijlink J, Moldwin R, Nasta L, Quaghebeur J, Sairanen J, Taneja R, Tomoe H, Ueda T, Wennevik GE, Wyndaele JJ, Zaitcev A PMID: 32588705 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 27, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Delayed blood transfusion is associated with mortality following radical cystectomy.
Authors: Tan WS, Wang Y, Trinh QD, Preston MA, Kelly JD, Hrouda D, Kibel AS, Krasnow RE, Liu JJ, Chung BI, Chang SL, Mossanen M Abstract Objectives: To examine the temporal association between blood transfusion and 90-day mortality in patients with bladder cancer treated with radical cystectomy.Methods: This represents a retrospective cohort study of patients treated with radical cystectomy within the Premier Hospital network between 2003 and 2015. Patients outcomes were stratified those who received early blood transfusion (day of surgery) vs delayed blood transfusion (postoperative day ≥1) during the index adm...
Source: Scandinavian Journal of Urology - June 17, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Is bladder tumour fulguration under local anaesthesia more painful than cystoscopy only?
Conclusion: The VAS-scores after diagnostic cystoscopy are in accordance with those previously reported, with the absolute majority reporting no or mild pain. Patients treated with extirpation of bladder tumours reported higher levels of pain but still within acceptable limits. This confirms the potential of treating most patients with small-sized bladder tumour recurrences under local anaesthesia. PMID: 32543963 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 17, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Comments to Editorial by J. Curtis Nickel. It is premature to categorize Hunner lesion interstitial cystitis as a distinct disease entity. Scandinavian Journal of Urology 2020, Vol. 54, No. 2, 99-100.
Authors: Nickel JC PMID: 32525741 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 13, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Clinical markers of morbidity, mortality and survival in bladder cancer patients treated with radical cystectomy. A systematic review.
Conclusion: Clinical markers to predict morbidity, mortality and survival in patients with bladder cancer treated with RC and PLND may help to improve patient outcomes and treatment decision-making, but available data come from small retrospective trials and have not been properly validated. Prospective, multi-centre studies are needed to implement and disseminate predictive clinical markers and nomograms such that they can be utilised in treatment decision-making in daily practice. PMID: 32516016 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 10, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Prognostic significance of previous tonsillectomy after radical cystectomy for bladder cancer.
Authors: Gakis G, Hassan FN, Schmid MA, Ölschläger M, Hackenberg S, Stenzl A, Renninger M Abstract Introduction: To examine whether previous tonsillectomy (TE) impacts on survival after radical cystectomy (RC) for bladder cancer (BC).Patients and Methods: A total of 320 patients were staged cM0 and underwent RC for BC between 2002 and 2013. We retrospectively investigated whether patients had undergone TE prior to RC. Chi-square/Fisher-Exact test was carried out to compare clinicopathological features between the TE- and non-TE-group. Kaplan-Meier analysis with log-rank test was used to estimate recurrenc...
Source: Scandinavian Journal of Urology - June 7, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Personality and educational level determine self-reported health-related quality-of-life and distress in patients with renal tumors awaiting radical surgery.
Conclusions: For both preoperative distress and HRQoL, personality traits such as neuroticism and education level were the most important predictors. Tumor-related factors and other preexisting conditions seemed to be of lesser importance. Thus, preoperatively screening of psychological factors could be helpful to identify those at risk of poor outcomes. PMID: 32500779 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 7, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Three-dimensionally printed non-biological simulator for percutaneous nephrolithotomy training.
Authors: Ali S, Sirota E, Ali H, Bezrukov E, Okhunov Z, Bukatov M, Letunovskiy A, Grygoriev N, Taratkin M, Vovdenko S, Afyouni A, Alyaev Y Abstract Objective: We sought to improve the educational and pre-operative training on various stages of percutaneous nephrolithotomy (PCNL) under fluoroscopic and ultrasound guidance. We developed a three-dimensional (3D) printed simulator (3D-printed PCNL model) for urological trainees.Methods: 40 s year urology residents were randomly assigned into two groups, completing PCNL surgical steps on a URO Mentor™ surgical simulator (Group A) or on our new 3D-printed PC...
Source: Scandinavian Journal of Urology - June 6, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Clinical effect of computed guided pudendal nerve block for patients with premature ejaculation: a pilot study.
Conclusion: CT-guided pudendal nerve block at the sacrospinous ligament and the Alcock's canal was effective in improving premature ejaculation. Therefore, pudendal nerve entrapment may be a curable cause of sensory premature ejaculation. PMID: 32476566 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - June 3, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Post-obstructive diuresis; underlying causes and hospitalization.
Authors: Leinum LR, Berthelsen C, Azawi N Abstract Objective: This paper aims to estimate the incidence of post-obstructive diuresis (POD) among patients with urinary retention, explore possible underlying causes and identify patients who need hospitalization.Material and methods: This retrospective study includes patients admitted for urinary retention in Zealand University Hospital, Denmark. We collected demographic characteristics, health information and laboratory results from patients' charts and analyzed data statistically.Results: We assessed 64 patients, and POD occurred in 29.7%. A significant correlation ...
Source: Scandinavian Journal of Urology - May 27, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Multiparametric ultrasonographic analysis of testicular tumors: a single-center experience in a collective of 49 patients.
Conclusions: Multiparametric ultrasonography depicts a non-ionizing, directly accessible and cost-effective imaging modality that allows for the extensive characterization of testicular tumors, thereby helping to discriminate between malignant and benign entity of testicular tumors. PMID: 32449437 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - May 27, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

The renal cell cancer database Sweden (RCCBaSe) - a new register-based resource for renal cell carcinoma research.
Conclusion: By linking the NSKCR to several Swedish national databases, a unique database for RCC research has been created. PMID: 32436435 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - May 23, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Robotic and open partial nephrectomy for intermediate and high complexity tumors: a matched-pairs comparison of surgical outcomes at a single institution.
Authors: Abedali ZA, Monn MF, Huddleston P, Cleveland BE, Sulek J, Bahler CD, Foster RS, Koch MO, Mellon MJ, Kaimakliotis HZ, Cary C, Bihrle R, Gardner TA, Masterson TA, Boris RS, Sundaram CP Abstract Objective: To compare peri-operative factors and renal function following open partial nephrectomy (OPN) and robotic partial nephrectomy (RPN) for intermediate and high complexity tumors when controlling for tumor and patient complexity.Methods: A retrospective review of 222 patients undergoing partial nephrectomy was performed. Patients with intermediate (nephrometry score NS 7-9) or high (NS 10-12) complexity tumors...
Source: Scandinavian Journal of Urology - May 15, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Prostate volume and age are predictors of energy delivery using the CoreTherm Concept in patients with LUTS/BPO: a study on thermal dose.
Authors: Stenmark F, Brudin L, Kjölhede H, Peeker R, Stranne J Abstract Objective: The primary aim of this study was to evaluate the scientific evidence supporting the use of thermal dose as a secondary (or an alternative) endpoint when using the CoreTherm Concept.Material and methods: Baseline and treatment data from 283 consecutive treatments were evaluated. All patients had lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH). After evaluation, benign prostatic enlargement (BPE) with benign prostatic obstruction (BPO) was evident. As treatment, the CoreTherm Concept was used in a...
Source: Scandinavian Journal of Urology - May 15, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Set-up and preliminary results from the Patient-overview Prostate Cancer. Longitudinal registration of treatment of advanced prostate cancer in the National Prostate Cancer Register of Sweden.
Conclusion: In PPC, use and effects of novel therapies for advanced Pca are assessed in a real-life setting. PPC data are used as a decision aid, for quality assurance, and in research. PMID: 32363988 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - May 5, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Do negative intrusive thoughts at diagnosis predict impaired quality of life, depressed mood and waking up with anxiety 3, 12 and 24 months after radical prostatectomy? - a longitudinal study.
Conclusions: The demonstrated link between intrusive thoughts and quality of life, depressed mood and waking up with anxiety deliver is further evidence to the idea that intrusive thoughts has potential as an endpoint for assessing and predicting psychological distress among men with prostate cancer diagnosis.Trial registration number: ISRCTN06393679 (www.isrctn.com). Date of registration: 07/02/2008. Retrospectively registered. PMID: 32343155 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 30, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Health-related quality-of-life after radical cystectomy among Norwegian men and women compared to the general population.
Conclusion: This study found a high global QoL score after radical cystectomy, comparable with the general Norwegian population. Symptoms seem to improve over time. Difference in HRQoL outcomes between men and woman in the study population was comparable with the difference found in the general population. PMID: 32343159 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 30, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Biopsy core length in white versus African descendant prostate cancer patients.
Conclusion: In a PCa population with similar access to the health system, prostate biopsy core length in African descendant men is significantly smaller than in whites. This finding is new and may add to the controversial argument of PCa having a worse prognosis in African descendant patients. PMID: 32343184 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 30, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Adherence to guidelines for androgen deprivation therapy after radical prostatectomy: Swedish population-based study.
Authors: Lycken M, Drevin L, Garmo H, Larsson A, Andrén O, Holmberg L, Bill-Axelson A Abstract Background: Androgen deprivation therapy (ADT) is a non-curative but essential treatment of prostate cancer with severe side effects. Therefore, both over- and underuse should be avoided. We investigated adherence to guidelines for ADT following radical prostatectomy through Swedish population-based data.Material and methods: We used the database Uppsala/Örebro PSA cohort (UPSAC) to study men with localised or locally advanced prostate cancer at diagnosis (clinical stage T1-T3, N0-NX, M0-MX, and prostate-specific antigen (PSA)
Source: Scandinavian Journal of Urology - April 28, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Salvage open radical prostatectomy for recurrent prostate cancer following MRI-guided transurethral ultrasound ablation (TULSA) of the prostate: feasibility and efficacy.
Conclusions: RP is a viable and safe salvage option if TULSA fails. Technical difficulty and perioperative morbidity were negligible and attributable to minimal peri-prostatic reaction from TULSA. PMID: 32308085 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 21, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Urine colour as an indicator for anastomotic leakage after robot-assisted radical prostatectomy.
Conclusion: This prospective single-arm trial indicates that in patients with clear urine and no other risk factors for anastomotic leakage, a cystogram examination before urethral catheter removal can be safely omitted. PMID: 32308088 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 21, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Update on a real-world study evaluating overall survival and treatment duration in Swedish patients with metastatic castration-resistant prostate cancer treated with enzalutamide.
Authors: Alghazali M, Löfgren A, Cheng N, Fagerlund K, Bjartell A PMID: 32285739 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 15, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Work status and work ability after radical prostatectomy or active surveillance for prostate cancer.
Conclusion: The impact of RP and AS on WS and WA was almost similar. Age and psychological variables were more strongly associated with reduced WA than cancer-related variables. PMID: 32285740 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 15, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Survival in patients diagnosed with castration-resistant prostate cancer: a population-based observational study in Sweden.
Conclusions: M1 disease at PC diagnosis was associated with worse survival after CRPC onset versus M0. Higher Gleason score at diagnosis was associated with higher mortality after CRPC onset in M0 patients at diagnosis. PMID: 32266854 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 10, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Single centre versus multi-centre pooled morbidity data in PCNL and the implications for informed consent.
Conclusion: To facilitate transparent consent, single-centre rather than pooled outcome data should be utilized. PMID: 32223494 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - April 1, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

It is premature to categorize Hunner Lesion interstitial cystitis as a distinct disease entity.
Authors: Nickel JC PMID: 32216505 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 29, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Percutaneous nephrolithotomy and modern aspects of complications and antibiotic treatment.
Conclusion: This study has a total complication rate of 16%, approximately 10% of those are severe. The most common complication to PCNL was infection (60%), followed by bleeding (5.4%), reoperation (1.6%) and pain (0.5%). The high prevalence of E. faecalis might need to be considered, however the results should be validated in a larger cohort, possibly with a higher rate of antibiotic resistance, before a change of guidelines regarding prophylactic antibiotics could be proposed. PMID: 32208808 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 28, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

End-fire versus side-fire: a randomized controlled study of transrectal ultrasound guided biopsies for prostate cancer detection.
Conclusions: No significant difference was found in detection rate of prostate cancer between the end-fire and side-fire probe in transrectal ultrasound guided prostate biopsy, neither for detection rate of prostate cancer in the apex. PMID: 32162567 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 14, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

One-year follow-up after urethroplasty, with the focus on both lower urinary tract and erectile function.
Conclusions: Urethroplasty yielded very good functional results with respect to both lower urinary tract and erectile functions. PMID: 32162569 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 14, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Single-center study: the diagnostic performance of contrast-enhanced ultrasound (CEUS) for assessing renal oncocytoma.
Conclusions: Within the frame of the present study and in line with the recent state of knowledge, no specific sonomorphological feature - including CEUS - could be detected allowing for adequate discrimination between oncocytoma and renal cell carcinoma. PMID: 32162575 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 14, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Needle tract seeding after percutaneous cryoablation of small renal masses; a case series and literature review.
We report a series of two patients that underwent cryoablation for SRMs and developed recurrence along the needle tract. Available knowledge on the controversial topic of tumor seeding following needle manipulation are poor. So far, reporting cases of tumor cell seeding due to needle manipulation is useful to permit a better understanding of this complication. PMID: 32153242 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 12, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

The Stockholm Spinal Cord Uro Study: 2. Urinary tract infections in a regional prevalence group: frequency, symptoms and treatment strategies.
Conclusions: Risk profiles for recurring and severe UTIs were catheter-assisted voiding, cervical or thoracic levels and more complete neurological lesions and the co-existence of other SCI-related complications. There is a need for an increased understanding of the special symptoms of UTI in this patient group and a strategy to avoid unspecific antibiotic treatment. PMID: 32148149 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 11, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Non-metastatic prostate cancer: rationale for conservative treatment and impact on disease-related morbidity and mortality in the elderly.
Conclusions: Our study demonstrated systematic undertreatment of elderly patients with aggressive, non-metastatic PC with regard to local treatment based on chronological age alone. The patients in this study died of prostate cancer and the majority experienced significant morbidity caused by local tumor growth. PMID: 32133899 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 6, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Hunner lesion disease differs in diagnosis, treatment and outcome from bladder pain syndrome: an ESSIC working group report.
Conclusions: A paradigm shift in the understanding of BPS/IC is urgent. A highly topical issue is to separate HLD and BPS: treatment results and prognoses differ substantially. Since historically, IC was tantamount to Hunner lesions and interstitial inflammation in the bladder wall, still, a valid definition, the term IC should preferably be reserved for HLD patients. BPS is a symptom syndrome without specific objective findings and should be used for other patients fulfilling the ESSIC definitions. PMID: 32107957 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - March 1, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Feasibility and efficacy of sequential systemic therapy for metastatic castration-resistant prostate cancer in a rural health care setting.
Authors: Nieder C, Dalhaug A, Haukland E Abstract Aim: The aim of this study was to evaluate the feasibility and efficacy, in terms of overall survival, of sequential systemic therapy in patients with metastatic castration-resistant prostate cancer (MCRPC) who lived in Nordland County, Norway, a large region with a challenging geography, yet only one department of oncology located in the main city, Bodø.Patients and methods: Overall 77 patients who had received at least 2 lines of treatment were included in this retrospective study.Results: Management included docetaxel in 69 patients (90%), often prescribed...
Source: Scandinavian Journal of Urology - February 25, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Pre-operative risk factors predicting missed diagnosis of renal vein tumor thrombus in renal cell carcinoma: a retrospective cohort study.
Authors: Jiang W, Cao C, Shi H, Shou J, Wang D, Wen L, Li C, Ma J Abstract PURPOSE: Previous reports showed that some patients with renal cell carcinoma (RCC) and renal vein tumor thrombus (RVTT) were misdiagnosed pre-operatively. To improve the accuracy of this diagnosis, the clinical characteristics of RCC with missed RVTT diagnosis were analyzed. METHODS: We retrospectively reviewed RCC patients with RVTT between January 2000 and December 2015. The survival analysis was estimated using the Kaplan-Meier method. The Cox proportional hazard models were applied to identify risk factors. RESULTS: The missed d...
Source: Scandinavian Journal of Urology - February 16, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Complications after BCG immunotherapy - neither a mountain nor a molehill.
Authors: Krajewski W, Poletajew S, Zdrojowy R, Kołodziej A PMID: 32053047 [PubMed - in process] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - February 14, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Impact noise of prostate biopsy devices.
Conclusions: Biopsy devices generate high peak levels of impact noise. Personnel performing biopsies are advised to consider using hearing protection, even though the impact noise may not induce permanent hearing loss. PMID: 32024394 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - February 8, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Pelvic phased-array mpMRI versus saturation biopsy: a diagnostic performance analysis in men with suspected advanced prostate cancer.
Conclusions: mpMRI can provide additional information for the detection of prostate cancer before saturation biopsies.Level of Evidence: III. PMID: 32026731 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - February 8, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Is there still a role of balloon dilatation of benign ureteric strictures in 2019?
Conclusions: Balloon dilatation of benign ureteric stricture is a feasible option. Its effect can be long-lasting in selected patients, that is, non-irradiated, incidental, short strictures with normal kidneys. This will benefit patients unfit for reconstructive surgery. PMID: 31997694 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - February 1, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Renal angiomyolipoma-patient characteristics and treatment with focus on active surveillance.
Conclusion: Bleeding occurred in 20% of AML at presentation. In patients selected for AS, we found a very low risk of bleeding in sporadic AML justifying our cut off size of 50 mm to trigger intervention. In TSC-associated AML individually tailored follow-up is needed due to a higher intervention rate. PMID: 31971051 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - January 25, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Robot-assisted vesicovaginal fistula repair - initial experience.
Conclusions: In this initial small series, we found that robot-assisted VVF repair is a safe procedure with results comparable to transvaginal repair. This procedure has a high success rate and few complications without using interposed tissue. PMID: 31975648 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - January 25, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Prognostic score predicts overall survival following complete urinary tract extirpation.
Conclusions: Because of lower OS rates, patients with ESRD or with a CUTE score of 3-4 points are probably not ideal candidates for CUTE. PMID: 31975650 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - January 25, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research

Comparative effectiveness of radical cystectomy and radiotherapy without chemotherapy in frail patients with bladder cancer.
Conclusion: The use of RT may be an alternative option in well selected patients with limited disease who are considered unfit for systemic chemotherapy and RC. Future research should focus on improving patient selection and assess the quality-of-life as well as the need for reintervention in patients treated with RT. PMID: 31975654 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Urology)
Source: Scandinavian Journal of Urology - January 25, 2020 Category: Urology & Nephrology Tags: Scand J Urol Source Type: research